没有发放的处方 - 一项全国性的描述性研究
Heini Kari1, Fredriikka Nurminen1, Hanna Rättö1,2
1Research Unit, The Social Insurance Institution of Finland (Kela), Helsinki, Finland.
Exploratory research in clinical and social pharmacy
|December 9, 2024
概括
药物不服药是一个重大问题,有13.3%的处方从未被填写. 这项研究强调了患者和药物组之间未发放处方的差异,影响了医疗保健结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药科学 制药科学
- 公共卫生 公共卫生
背景情况:
- 药物不服药导致健康状况不佳,死亡率增加,医疗保健费用增加.
- 了解处方不发放率对于改善患者护理和资源配置至关重要.
研究的目的:
- 量化芬兰未发放处方的全国患病率.
- 确定患者和药物分组,其未发放处方率较高.
主要方法:
- 全国范围的基于登记册的回顾性研究使用了2020年芬兰处方数据.
- 对2020年处方和2020-2022年间发行的处方进行分析.
- 包括患者人口统计 (年龄,性别,收入) 和药物详细信息,使用分布和赔率比率进行分析.
主要成果:
- 在2600万处方中,13.3%的处方从未发放,影响了43.3%的患者.
- 非处方率因人口统计和治疗领域而异,皮肤类药物 (20.2%) 和"其他神经系统药物" (38%) 的比例较高.
- 常见的非分发药物包括白醇,易布洛芬和沙布塔摩尔.
结论:
- 在各种子组中,非处方处方率存在显著差异.
- 医疗保健专业人员应专注于减少不必要的处方和提高药物坚持,以提高患者的安全性和有效性.
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